Shellmire Unlimited

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SHELLMIRE UNLIMITED

Practice address

5257 NE MLK Jr Blvd
Portland, OR 97211-3282

Phone

(503) 676-3710

Fax

(503) 331-2549

NPI assigned

Mar 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ray A. Shellmire, LCSW

Title

Director

Phone

(503) 676-3710

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1538690664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 NE MLK JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113282",
            "telephone_number": "503-676-3710",
            "fax_number": "503-331-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 NE MLK JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113282",
            "telephone_number": "503-676-3710",
            "fax_number": "503-331-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLMIRE UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "SHELLMIRE",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-676-3710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allia Shell
• Conner James Shell
• Haley Shell
• Susan M Shell, LMT
• Julia F Shellhorn, ARNP
• Shellmire Unlimited, P.C.
• Ray A. Shellmire, LCSW
• Alexander Christian Shelton
• Jonicia Shelton
• Joshua Lance Shelton, LMT

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.